Individual provider Active NPI

Laura Laffitte, MSCCC SLP

  • Speech-Language Pathologist
  • Knoxville, TN
National Provider Identifier
1851864912
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5293 Issued in TN
Practice address
5321 Beverly Park Cir
Knoxville, TN 37918-9253
Phone
(865) 687-1321
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5293 TN Primary

Addresses

Primary practice location

5321 Beverly Park Cir
Knoxville, TN 37918-9253

Mailing address

1800 Westchester Dr
Knoxville, TN 37918-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318001089 TN Practitioner - Qualified Speech Language Pathologist 0749618130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

8458 Gleason Dr
Knoxville, TN 37919-5482
Phone (865) 474-9837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5293TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Dec 21, 2020 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Dec 21, 2020 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Speech-Language Pathologist CurrentSince Jan 20, 2020 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1851864912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTCHESTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 BEVERLY PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253",
            "telephone_number": "865-687-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFFITTE",
        "first_name": "LAURA",
        "credential": "MSCCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.